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15 Cards in this Set
- Front
- Back
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minor in aging?
enlarged ventricles and sulci |
yes!
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minor in aging?
minor forgetfulness? |
yes!
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stages of dying
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denial
anger bargaining depression acceptance in any order |
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risks of suicide in depressed elderly
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2x higher
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elderly person
stomach pain loss of memory |
make sure depression is on the differential
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acute onset dementia
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think pseudodementia
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sundowning
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think delirium
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confabulation
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think delirium or Korsakoffs
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patient not aware of his problems with dementia
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think alzheimers not pseudodementia
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tx for elderly depression
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low dose
SSRIs ECT |
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adjunct for the depressed elderly
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methylphenidate at low doses if there's psychomotor retardation (but give early in the day)
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what's present in abnormal grief vs. bereavement
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guilt and worthlessness
significant sleep disturbance/weight loss hallucinations, delusions not resuming activities suicidality more than 1 year of symptoms |
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what happens to REM sleep in old age?
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increases in occurrence but shorter in duration (total about the same)
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which sleep stages increase/decrease in old age
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1 and 2 increase
3 and 4 decrease (deep) |
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rx for insomnia in elderly
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avoid benzos because of side effects in elderly
hydroxyzine or zolpidem safer |
